Get Complaint Report For Damages Form - The Pennsylvania Turnpike

Filing a complaint report for damages related to the Pennsylvania Turnpike is an important step in seeking resolution. This guide will walk you through the process of completing the Complaint Report For Damages Form online, ensuring that all necessary information is accurately provided.

Follow the steps to successfully complete the form online:

1. Click ‘Get Form’ button to obtain the form and open it in the online interface.
2. In the first section, fill in your name, address, and telephone number. Be sure to provide accurate information to ensure clear communication.
3. Enter the date and time of the accident, as well as the direction of travel at the time of the incident. This information is essential for processing your complaint.
4. Describe the location of the accident, including the milepost and city. Providing precise location details helps in locating the event.
5. Clearly explain how the accident occurred. Provide a detailed account to help the reviewers understand the circumstances surrounding the incident.
6. Note the weather conditions at the time of the accident and the state of the road. This information may affect liability claims.
7. Input the name and address of the vehicle or property owner involved in the incident, along with their telephone number.
8. Provide the name and address of the owner’s insurance company along with the policy number for further reference.
9. Explain the nature of the damage incurred and specify the amount of the claim you are submitting.
10. Describe the damaged property, including type and model, as well as the year of the vehicle if applicable.
11. If applicable, fill in the vehicle’s license plate number, vehicle identification number, and state.
12. Provide the name and address of the driver involved in the accident.
13. Indicate whether anyone was injured in the accident and, if so, list their names and the extent of those injuries.
14. State whether there was a police investigation, and if so, include the police report number.
15. Indicate whether the incident has been reported to Turnpike employees, providing names and the location of the report if applicable.
16. If there were witnesses to the incident, list their names and addresses.
17. Read the statement regarding false claims and provide your signature along with the date to confirm your submission.
18. Finally, ensure all supporting documents, such as estimates or repair bills, are attached before submitting the form.

Start completing your Complaint Report For Damages Form online for a prompt resolution.